New safety risks of net hospitals in 2014
as reimbursement and the entire system of reform challenge governments to maintain financial solvency and standards of care, safety net hospitals and other suppliers anticipate future changes in the delivery of health care. How net suppliers safety factor in our existing health care system - And what we can expect for them in the coming year
What are the safety net providers
according to a survey conducted by the Fund Commonwealth, 98 percent of health and political leaders believe health care safety net providers will be critical even after health reform is fully implemented. Net security providers are an essential network consisting of hospitals, health centers, health services, school clinics, HIV clinics / AIDS and rural clinics that provide care to all patients regardless of their ability pay. practices and hospitals that provide care on a part-time basis to charitable private doctors are also considered part of the safety net. A significant amount of patients safety net provider are uninsured or underinsured. The safety net providers based on Medicare and disproportionate share hospital (DSH) subsidies to offset the cost of care for this population of vulnerable Americans.
Impact of the Affordable Care Act (ACA)
As safety net providers adapt to a healthcare market evolution, ACA reforms have both opportunities and challenges. the costs of care without compensation should decrease previously uninsured benefit from the expansion of Medicaid patients and state insurance markets and credits. But it is of concern between the administrations of safety net providers that these revenue gains will not offset the cuts in payments to DSH. Overall, the safety net providers see a reduction of $ 18.1 billion in DSH payments over the next six years, despite the fact that some 29 million people, including undocumented immigrants and those who voluntarily renounce insurance remain uninsured according to the Congressional Budget Office. In addition to reductions in DSH, many states have implemented the freezing of refunds and cuts in social benefits.
The ACA can actually create a greater need for safety net providers in some states, but can reduce the funding that keeps them afloat in others. ACA for the expansion of Medicaid to cover the financial losses due to the reduction of subsidies; However, many safety net providers operate in states that do not support the expansion of Medicaid, which means that these providers are not eligible for subsidies or expanded benefits - once double-edged. Vendors operating in the states participating in the Medicaid expansion, in turn, face a different set of obstacles as they anticipate an influx of newly insured patients.
Looking Ahead
While governments rush to correct their current financial problems, many are preparing adaptation strategies for their new role in the care of the environment health evolution. Because they have a history of operating under tight budgets, safety net providers are always ready to develop strategies and tactics that eliminate waste, making them more efficient care and provide better results. With this innovation, the ACA has set aside $ 11 billion in funds to invest in the infrastructure of safety net providers. This money can be used to improve capacity, develop care and school nurse managed, creating accountable care organizations, medical homes promote patient-centered and develop community care networks. Additional funding from the Prevention and Public Health Fund provides an additional $ 15 billion in infrastructure investments. Finally, Medicaid and Medicare will provide incentives and subsidies for the implementation of electronic medical records in the coming years. A policy paper by the Health Academy provides that safety net health systems that take care of integrating into larger complete systems and actively use information technology will be more efficient than their counterparts.
In the coming years, the success of the individual safety net providers are firmly in the hands of health administration leaders. To ensure their practices thrive in this new environment, these leaders will have the knowledge of consumers of higher marketing, Wheel and the ability to treat as a politician and the financial expertise of a CFO.
How would you help a safety net provider to prepare? Tell us in the comments.
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